# BAXTER B. SAPP, JR, DDS & HT MACON SAPP, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376569624
- **Authorized official:** DR. HAL THOMAS MACON SAPP (DDS/VICE PRESIDENT)
- **Authorized official phone:** (919) 489-9171

## Contact information

- **Practice address:** 3612 SHANNON RD, SUITE 205, DURHAM, NC 27707-6329
- **Practice address phone:** (919) 489-9171
- **Practice address fax:** (919) 493-1088
- **Mailing address:** 3612 SHANNON RD, SUITE 205, DURHAM, NC 27707-6329
- **Mailing address phone:** (919) 489-9171
- **Mailing address fax:** (919) 493-1088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2106 | NC | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 08/22/2020